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NEIL P. JOHNSON

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* Human Reproduction, Vol.0, No.0, pp. 117, 2013.

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ISSN 2309-4117

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(MIF), - ,

(May et al., 2010).
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(http://guidelines.
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(http://www.asrm.org/
uploadedFiles/ASRM_Content/News_and_
Publications/Practice_Guidelines/Educational_
Bulletins/endometriosis_and_infertility(1).pdf,
http://www.asrm.org/uploadedFiles/ASRM_
Content/News_and_Publications/Practice_
Guidelines/Educational_Bulletins/Treatment_
of_pelvic_pain(1).pdf);
(http://www.rcog.org.uk/files/rcogcorp/GTG2410022011.pdf);
(http://www.sogc.org/guidelines/documents
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CONSENSUS ON CURRENT MANAGEMENT OF ENDOMETRIOSIS


Neil P. Johnson, MD, Vice-president of the World Endometriosis Society
Lone Hummelshoj, MD, General Secretary of the World Endometriosis Society
Study question: Is there a global consensus on the management of endometriosis that considers the views of women with endometriosis?
Summary answer: It was possible to produce an international consensus statement on the current management of endometriosisthrough engagement of
representatives of national and international, medical and non-medical societies with an interest in endometriosis.
What is known already: Management of endometriosis anywhere in the world has been based partially on evidence-based practices and partially on unsubstantiated
therapies and approaches. Several guidelines have been developed by a number of national and international bodies, yet areas of controversy and uncertainty
remain, not least due to a paucity of rm evidence.
Study design, size, duration: A consensus meeting, in conjunction with a pre- and post-meeting process, was undertaken.
Participants/materials, setting, methods: A consensus meeting was held on 8 September 2011, in conjunction withthe 11th World Congress on Endometriosis
in Montpellier, France. A rigorous pre- and post-meeting process, involving 56 representatives of34 national and international, medical and non-medical
organizations from a range of disciplines, led to this consensus statement.
Main results and the role of chance: A total of 69 consensus statements were developed. Seven statements had unanimous consensus; however, none of the
statements were made without expression of a caveat about the strength of the statement or thestatement itself. Only two statements failed to achieve majority
consensus. The statements covered global considerations, the role of endometriosis organizations, support groups, centers or networks of expertise, the impact of
endometriosis throughout a womans life course,and a full range of treatment options for pain, infertility and other symptoms related to endometriosis.
Limitations, reasons for caution: This consensus process differed from that of formal guideline development. A differentgroup of international experts from those
participating in this process would likely have yielded subtly different consensus statements.
Wider implications of the ndings: This is the rst time that a large, global, consortium, representing 34 major stake holding organizations from ve continents,
has convened to systematically evaluate the best available current evidence on the managementof endometriosis, and to reach consensus. In addition to 18
international medical organizations, representatives from 16 national endometriosis organizations were involved, including lay support groups, thus generating
input from women who suffer from endometriosis.
Key words: endometriosis, evidence based, World Endometriosis Society.

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